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1124081773
JOHN MITTEN
TEMPLE, TX
NPI
1124081773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 427932)
Enumeration Date
2006-04-06
Last Update Date
2007-07-10
Business Address
-- JOHN MITTEN
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
-- JOHN MITTEN
PO BOX 847408
DALLAS, TX 75284-7408
Phone number: 254-724-2111
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